title: The Warwick Hip Trauma Evaluation One -an abridged protocol for the WHiTE One Study: An embedded randomised trial comparing the X-bolt with slidinghip screw fixation in extracapsular hip fractures.
abstract: Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for patients with unstable trochanteric proximal femoral fractures. The recognised treatment alternatives are extramedullary fixation usually with a sliding hip screw and intramedullary fixation with a cephalomedullary nail. Current evidence suggests that best results and lowest complication rates occur using a sliding hip screw. Complications in these difficult fractures are relatively common regardless of type of treatment. We believe that a novel device, the X-Bolt dynamic plating system, may offer superior fixation over a sliding hip screw with lower reoperation risk and better function. We therefore propose to investigate the clinical effectiveness of the X-bolt dynamic plating system compared with standard sliding hip screw fixation within the framework of a the larger WHiTE (Warwick Hip Trauma Evaluation) Comprehensive Cohort Study. Cite this article: Bone Joint Res 2013;2:206-9.
authors.affiliation: Warwick Orthopaedics, Warwick MedicalSchool, University of Warwick, CoventryCV4 7AL, UK, and UniversityHospitals Coventry and Warwickshire NHS Trust, CliffordBridge Road, Coventry CV2 2DX, UK.
authors.forename: X L
authors.initials: XL
authors.lastname: Griffin
authors.forename: J
authors.initials: J
authors.lastname: McArthur
authors.forename: J
authors.initials: J
authors.lastname: Achten
authors.forename: N
authors.initials: N
authors.lastname: Parsons
authors.forename: M L
authors.initials: ML
authors.lastname: Costa
keywords: Frail older adults; Hip fractures; Outcome assessment (Health Care); Protocol; RCT; Randomised controlled trial